Entity Details

Basic

Entity Type:
Assisted Living Programs for People with Dementia (ALP/D)

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
120

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0268

Initial License Date:
02/25/2008

Current License Date:
02/25/2026

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
02/25/2028

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
11 Elliott Street

City:
Council Bluffs

State:
Iowa

Zip:
51503-0223

Phone:
(712) 328-8228

Fax:
(712) 328-4058

URL:

Administrator/License #:
Chandra Gustafson / 083494

Administrator Email:
gustafson@blhs.care

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: